CLIA lab
CLIA 24D2143223: Palm Village 3, Mary T Inc
Coon Rapids, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2143223 belongs to Palm Village 3, Mary T Inc in Coon Rapids, MN.
Certificate of Waiver, effective January 26, 2026, expires January 25, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 26, 2026
- Certificate expiration
- January 25, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 26, 2018
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 8
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 24D2143223
- Lab name
- Palm Village 3, Mary T Inc
- Address
- 850 98th Ave NW, Coon Rapids, MN 55433
- Phone
- (763) 592-9414
- Fax
- (612) 662-8213
Annual test volume the lab reported
- Waived tests
- 365
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Coon Rapids, MN
- Alight LLCCertificate of Waiver, Assisted living facility24D2339568
- Aliya Care IncCertificate of Waiver, Home health agency24D2170181
- All Hopes IncorporatedCertificate of Waiver, Assisted living facility24D2146917
- Allina Health Coon Rapids ClinicCertificate of Accreditation, Physician office24D0402953
- Allina Health Coon Rapids Clinic Mohs LabCertificate of Compliance, Physician office24D2303222
- Allina Health Mercy Women's Health ClinicCertificate of Waiver, Physician office24D0402974
- Associated Skin Care Specialists PA- Coon RapidsCertificate of Compliance, Physician office24D0680317
- Assurant Care Homes LLCCertificate of Waiver, Assisted living facility24D2177174
- Assurant Care Homes LLCCertificate of Waiver, Assisted living facility24D2283722
- Assurant Care Homes LLCCertificate of Waiver, Assisted living facility24D2283723
Related
Questions
What is the CLIA number for Palm Village 3, Mary T Inc in Coon Rapids?
24D2143223, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Palm Village 3, Mary T Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2143223 expire?
The CMS file lists January 25, 2028 as the certificate expiration date; the certificate took effect January 26, 2026.